SearchIdahoPediatric Dentistry

Randall Blair, DMD

NPI 1659546174 · on the registry since 2008 · sole proprietor

Practice

Address
37 W Archerfield St Ste 100
Meridian, ID 83646
Phone
(208) 938-9958
Fax
(208) 298-0646
Organisation at this address
Idaho Dental Anesthesia Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho